Individual
DR. MARK JAMES WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1635 E MYRTLE AVE STE 400, PHOENIX, AZ 85020-5514
(602) 944-2900
(602) 944-0064
Mailing address
1635 E MYRTLE AVE STE 400, PHOENIX, AZ 85020-5514
(602) 944-2900
(602) 944-0064
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A83999
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
45261
AZ
Other
Enumeration date
05/03/2007
Last updated
05/04/2022
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